Medicare Needs to Address Multiple Chronic Conditions

PUB. DATE

September 2005

SOURCE

O&P Business News;9/1/2005, Vol. 14 Issue 17, p64

SOURCE TYPE

Periodical

DOC. TYPE

Article

ABSTRACT

The article focuses on the need for the Medicare program in the U.S. to address multiple chronic conditions. The proposal is based on the observation that 83 percent of Medicare beneficiaries have at least one chronic condition, such as congestive hart failure and Alzheimer's disease. According to the article, additional changes are needed to complete the planned reorientation in spite of the enactment of the Medicare Modernization Act of 2003.

The article offers information on how to appeal for the health insurance plan of Medicare Part D patients. Patients who experienced problem with plans that do not pay for the drug that they need may have a detailed procedure on how to appeal the decision through the March 23 "Federal Register"...

The article reports that the U.S. Centers for Medicare and Medicaid Services has developed a process that would enable pharmacies to serve Medicaid patients eligible for Medicare who were not automatically enrolled in the Medicare Part D program.

The article discusses the benefits and impacts of Medicare Part D plan on Medicare beneficiaries and pharmaceutical manufacturers in the U.S. It mentioned that the benefit is seen to increase access to medication among, the government programs runs, risk of concentrating purchase power by...

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The article offers information on the proper use of advance beneficiary notice (ABN). It says that Medicare only reimburse one prostate-specific antigen (PSA) per year, so ask the patient to sign an ABN for the second screening. It states that if there is doubt whether Medicare will cover the...

The article focuses on the proper usage of advance beneficiary notice of noncoverage (ABN), a written notice stating the denial of service to Medicare beneficiary, along with Notice of Exclusion From Medicare Benefits (NEMB) form. It says that the function of NEMB was for the notification of a...

The author reflects on the issue about the proposed cuts in Medicare physician reimbursement in the U.S. He comments about the private Medicare advantage program which faces the loss of support that was really intended temporarily right from the start. The author says that there is no simple...